Ancestry Service
(add health reports at any time for a fee)

Ancestry Service
€99

Experience your ancestry in a new way!
Get a breakdown of your global ancestry by percentages,
connect with DNA relatives and more.
You can add health reports (without spitting again) at any time for an additional fee.learn more

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Here are just a few of the things people frequently ask about 23andMe.
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23andMe was founded in 2006 to help people access, understand and benefit
from the human genome.

We have more than five million genotyped customers around the world.

23andMe offers two Personal Genetic Services: Health + Ancestry and Ancestry. Both services require submitting
a saliva sample using our saliva collection kit that you send to the lab for analysis.

Our Health + Ancestry Service provides insights on your genetic health risks*, carrier status*, traits,
wellness and ancestry. We analyse, compile and distill the information extracted from your
DNA into 125+ reports you can access online and share with family and friends.
See full list of reports offered.

Our Ancestry Service helps you understand who you are, where your DNA comes from and your family story. We
analyse, compile and distill your DNA information into reports on your
Ancestry Composition,
Ancestry Detail Reports,
Maternal & Paternal Haplogroups,
Neanderthal Ancestry,
Your DNA Family
and provide a DNA Relatives tool to enable you to connect with relatives who share
similar DNA.

If you have the Health + Ancestry Service you have access to the full 23andMe experience. If you only have the
Ancestry Service, you can easily upgrade to the Health + Ancestry Service for
€90 which gives you access to all
125+ reports on ancestry, traits and health. You are eligible to upgrade once you
have received your Ancestry reports. To upgrade, log in to your 23andMe account and navigate to the Settings
page. You will receive immediate access to your new health reports.

You may save up to €20 if you
purchase the €169 Health + Ancestry Service
instead of the €99 Ancestry Service as the fee for
adding health reports later is €90
(€189 total). We may
offer special discounted upgrades from time to time.

23andMe is the first and only genetic service available
directly to you that includes reports that meet
standards for clinical and scientific validity.

All saliva samples are processed in CLIA-certified and CAP-accredited labs

Our kit is manufactured in accordance with current Good Manufacturing Practices

Genotyping is a well-established and reliable platform for analysing DNA

Our team of scientists and medical experts use a rigorous process to
develop and design each report, ensuring validity and ease of use

Ancestry percentages are derived from our powerful, well-tested system
that provides you with ancestry estimates down to the 0.1%

You choose how your genetic information is used and shared with others. We
tell you how those choices are implemented and how we collect, use and
disclose your information.

We will not share your individual-level information with any third party
without your explicit consent

We have guidelines and policies in place to protect the personal information
of children as well as incapacitated or deceased individuals

We do not provide information to law enforcement unless we are required
to comply with a valid subpoena or a court-ordered request

*The 23andMe PGS test uses qualitative genotyping to detect select clinically
relevant variants in the genomic DNA of adults from saliva for the purpose of
reporting and interpreting genetic health risks and reporting carrier status.
It is not intended to diagnose any disease. Your ethnicity may affect the
relevance of each report and how your genetic health risk results are
interpreted. Each genetic health risk report describes if a person has
variants associated with a higher risk of developing a disease, but does
not describe a person’s overall risk of developing the disease. The test
is not intended to tell you anything about your current state of health, or
to be used to make medical decisions, including whether or not you should
take a medication, how much of a medication you should take, or determine
any treatment. Our carrier status reports can be used to determine carrier
status, but cannot determine if you have two copies of any genetic variant.
These carrier reports are not intended to tell you anything about your risk
for developing a disease in the future, the health of your fetus, or your
newborn child's risk of developing a particular disease later in life. For
certain conditions, we provide a single report that includes information on
both carrier status and genetic health risk.
Warnings & Limitations: The 23andMe PGS Genetic Health Risk Report for BRCA1/BRCA2 (Selected Variants) is indicated for reporting of the 185delAG and 5382insC variants in the BRCA1 gene and the 6174delT variant in the BRCA2 gene. The report describes if a woman is at increased risk of developing breast and ovarian cancer, and if a man is at increased risk of developing breast cancer or may be at increased risk of developing prostate cancer. The three variants included in this report are most common in people of Ashkenazi Jewish descent and do not represent the majority of BRCA1/BRCA2 variants in the general population. This report does not include variants in other genes linked to hereditary cancers and the absence of variants included in this report does not rule out the presence of other genetic variants that may impact cancer risk. The PGS test is not a substitute for visits to a healthcare professional for recommended screenings or appropriate follow-up. Results should be confirmed in a clinical setting before taking any medical action.
For important information and limitations regarding each genetic health risk and carrier status
report, visit
23andme.com/test-info/

Health +
Ancestry Service

*The 23andMe PGS test uses qualitative genotyping to detect select clinically
relevant variants in the genomic DNA of adults from saliva for the purpose of
reporting and interpreting genetic health risks and reporting carrier status.
It is not intended to diagnose any disease. Your ethnicity may affect the
relevance of each report and how your genetic health risk results are
interpreted. Each genetic health risk report describes if a person has
variants associated with a higher risk of developing a disease, but does
not describe a person’s overall risk of developing the disease. The test
is not intended to tell you anything about your current state of health, or
to be used to make medical decisions, including whether or not you should
take a medication, how much of a medication you should take, or determine
any treatment. Our carrier status reports can be used to determine carrier
status, but cannot determine if you have two copies of any genetic variant.
These carrier reports are not intended to tell you anything about your risk
for developing a disease in the future, the health of your fetus, or your
newborn child's risk of developing a particular disease later in life. For
certain conditions, we provide a single report that includes information on
both carrier status and genetic health risk.

Usher Syndrome Type 3A

Zellweger Syndrome Spectrum (PEX1-Related)

*The 23andMe PGS test uses qualitative genotyping to detect select clinically
relevant variants in the genomic DNA of adults from saliva for the purpose of
reporting and interpreting genetic health risks and reporting carrier status.
It is not intended to diagnose any disease. Your ethnicity may affect the
relevance of each report and how your genetic health risk results are
interpreted. Each genetic health risk report describes if a person has
variants associated with a higher risk of developing a disease, but does
not describe a person’s overall risk of developing the disease. The test
is not intended to tell you anything about your current state of health, or
to be used to make medical decisions, including whether or not you should
take a medication, how much of a medication you should take, or determine
any treatment. Our carrier status reports can be used to determine carrier
status, but cannot determine if you have two copies of any genetic variant.
These carrier reports are not intended to tell you anything about your risk
for developing a disease in the future, the health of your fetus, or your
newborn child's risk of developing a particular disease later in life. For
certain conditions, we provide a single report that includes information on
both carrier status and genetic health risk.
Warnings & Limitations: The 23andMe PGS Genetic Health Risk Report for BRCA1/BRCA2 (Selected Variants) is indicated for reporting of the 185delAG and 5382insC variants in the BRCA1 gene and the 6174delT variant in the BRCA2 gene. The report describes if a woman is at increased risk of developing breast and ovarian cancer, and if a man is at increased risk of developing breast cancer or may be at increased risk of developing prostate cancer. The three variants included in this report are most common in people of Ashkenazi Jewish descent and do not represent the majority of BRCA1/BRCA2 variants in the general population. This report does not include variants in other genes linked to hereditary cancers and the absence of variants included in this report does not rule out the presence of other genetic variants that may impact cancer risk. The PGS test is not a substitute for visits to a healthcare professional for recommended screenings or appropriate follow-up. Results should be confirmed in a clinical setting before taking any medical action.
For important information and limitations regarding each genetic health risk and carrier status
report, visit
23andme.com/test-info/

Usher Syndrome Type 3A

Zellweger Syndrome Spectrum (PEX1-Related)

*The 23andMe PGS test uses qualitative genotyping to detect select clinically
relevant variants in the genomic DNA of adults from saliva for the purpose of
reporting and interpreting genetic health risks and reporting carrier status.
It is not intended to diagnose any disease. Your ethnicity may affect the
relevance of each report and how your genetic health risk results are
interpreted. Each genetic health risk report describes if a person has
variants associated with a higher risk of developing a disease, but does
not describe a person’s overall risk of developing the disease. The test
is not intended to tell you anything about your current state of health, or
to be used to make medical decisions, including whether or not you should
take a medication, how much of a medication you should take, or determine
any treatment. Our carrier status reports can be used to determine carrier
status, but cannot determine if you have two copies of any genetic variant.
These carrier reports are not intended to tell you anything about your risk
for developing a disease in the future, the health of your fetus, or your
newborn child's risk of developing a particular disease later in life. For
certain conditions, we provide a single report that includes information on
both carrier status and genetic health risk.
Warnings & Limitations: The 23andMe PGS Genetic Health Risk Report for BRCA1/BRCA2 (Selected Variants) is indicated for reporting of the 185delAG and 5382insC variants in the BRCA1 gene and the 6174delT variant in the BRCA2 gene. The report describes if a woman is at increased risk of developing breast and ovarian cancer, and if a man is at increased risk of developing breast cancer or may be at increased risk of developing prostate cancer. The three variants included in this report are most common in people of Ashkenazi Jewish descent and do not represent the majority of BRCA1/BRCA2 variants in the general population. This report does not include variants in other genes linked to hereditary cancers and the absence of variants included in this report does not rule out the presence of other genetic variants that may impact cancer risk. The PGS test is not a substitute for visits to a healthcare professional for recommended screenings or appropriate follow-up. Results should be confirmed in a clinical setting before taking any medical action.
For important information and limitations regarding each genetic health risk and carrier status
report, visit
23andme.com/test-info/

Select report category

Learn more about Genetic Health Risks and
Carrier Status reports, genetic counseling and what to
know about test results.

For more information about other reports included in our Health +
Ancestry Service, including Wellness, Traits and Ancestry, click here.

23andMe Genetic Health Risk Reports

The following information applies to Genetic Health Risk reports only.

What you should know

23andMe Genetic Health Risk Reports:
What you should know

Genetic Health Risk reports tell you about genetic variants associated with increased
risk for certain health conditions. They do not diagnose cancer or any other health conditions or
determine medical action.

Having a risk variant does not mean you will definitely develop a health condition.
Similarly, you could still develop the condition even if you don't have a variant detected. It is
possible to have other genetic risk variants not included in these reports.

Factors like lifestyle and environment can also affect whether a person develops
most health conditions. Our reports cannot tell you about your overall risk for these conditions, and
they cannot determine if you will or will not develop a condition.

These reports do not replace visits to a healthcare professional. Consult with a
healthcare professional for help interpreting and using genetic results. Results should
not be used to make medical decisions.

We encourage you to speak to a genetic counselor

We encourage you to speak to a genetic counselor

There are many things to think about when deciding whether genetic testing is right for you. Although
these tests can provide important information about health risks, they can also be upsetting or raise
questions about what the results mean. Genetic tests also have certain limitations that are important to
understand. Your personal and family medical history, as well as your goals for testing, should all factor into
your decisions about whether and how to test.

A genetic counselor, a healthcare professional with special training in genetic conditions, will be able to
answer your questions and help you make an informed choice. We recommend that you speak with a
genetic counselor before testing, and also after testing to help you understand your results and what
actions you should take. This is especially important for health conditions that are preventable or treatable.

What to know about Genetic Health Risk reports

What to know about Genetic Health Risk reports

Possible test results

Variant(s) not detected
You do not have the variant(s) we tested. Since these tests do not include all variants that
may impact your risk of developing a condition, you may still have another variant that could
affect your risk. Non-genetic factors may also affect your risk.

Variant(s) detected
You have one or more of the variants we tested. You may be at increased risk for the condition based on this
result. This does not mean you will definitely develop the condition. Other factors may also affect your risk.

Result not determined
Your test result could not be determined. This can be caused by random test error or other factors that
interfere with the test.

In some cases, the laboratory may not be able to
process your sample. If this happens, we will notify you
by email and you may request one free replacement
kit.

Other companies offering genetic risk tests may
include different variants for the same health condition.
This means that it's possible to get different results
using a test from a different company.

What to do with the results

If your report says you have variants associated with increased risk

Consider sharing the result with a healthcare professional.

Certain results, such as having a variant detected for the BRCA1/
BRCA2 (Selected Variants) report, may warrant prompt follow-up
with a healthcare professional, since effective options may exist
to prevent or reduce risk for disease. Each report will provide
more specific guidance.

Consider sharing your results with relatives. They may also have these variants. Keep in mind that some people may not want to know information about genetic health risks.

If your report says you do not have any risk variants detected

Continue to follow screening and other healthy behaviors
recommended by your healthcare provider. This is because our
reports do not cover all factors that might influence risk.

Concerned about your risk?

If you have other risk factors for the condition, you should discuss the condition with a doctor.

You can also discuss your results with your healthcare provider or a
genetic counselor.

Genetic Health Risk reports are intended to provide you with
genetic information to inform conversations with a healthcare
professional. These reports should not be used to make medical
decisions. Always consult with a healthcare professional before
taking any medical action.

You will be asked whether you want to receive certain Genetic Health Risk reports

You will be asked whether you want to receive certain Genetic Health Risk reports

Some of our reports are about serious diseases that may not have an effective treatment or cure.
Some people may be upset by learning about personal risks, and risks for family members who share DNA.
23andMe will not share your personal information with an insurance company without your explicit consent.
Learn more about third party information sharing here.

You can choose to exclude the following reports individually from your account before your results
are returned to you:

BRCA1/BRCA2 (Selected Variants)

Late-Onset Alzheimer’s Disease

Parkinson’s Disease

If you are interested in receiving these reports, we recommend that you consult with a genetic
counselor before purchasing. Additional relevant information about these reports will be
provided when you go through the process of setting your report preferences, after registering
your kit.

What to know about our Genetic Health Risk reports

What to know about our Genetic Health Risk reports

What to know about:BRCA1/BRCA2 (Selected Variants)and our test

Specific genetic variants in the BRCA1 and BRCA2 genes are associated with an increased risk of developing certain cancers, including breast cancer (in women and men) and ovarian cancer. These variants may also be associated with an increased risk for prostate cancer and certain other cancers. This test includes three genetic variants in the BRCA1 and BRCA2 genes that are most common in people of Ashkenazi Jewish descent.

BRCA1- and BRCA2-associated cancer risks

Women with a variant have a 45-85% chance of developing breast cancer by age 70 and up to a 46% chance of developing ovarian cancer by age 70.

Men with a variant have up to an 8% lifetime risk of developing male breast cancer and may have an increased risk for prostate cancer.

Men and women with a variant may also have an increased risk for pancreatic cancer and melanoma.

When cancers develop
In general, the chances of developing cancer increase as a person gets older. However, women with a BRCA1 or BRCA2 variant have an increased risk for early-onset breast cancer. Men with a variant may develop earlier and more aggressive prostate cancer.

Screening and prevention
Guidelines recommend that women with a BRCA1 or BRCA2 variant should be screened for breast cancer earlier and more often. Risk-reducing surgery or medication may also be offered. Men with a variant should be screened for breast cancer. Screening guidelines for prostate cancer vary. This test is not a substitute for visits to a healthcare professional for recommended screenings. Results should be confirmed in a clinical setting before taking any medical action. It is important to talk with a healthcare professional before taking any medical action.

What do we test?

We test for three specific genetic variants: the 185delAG and 5382insC variants in the BRCA1 gene and the 6174delT variant in the BRCA2 gene. These variants are associated with an increased risk of developing certain cancers.

We do not test for all possible variants in the BRCA1 and BRCA2 genes. More than 1,000 variants in these genes are known to increase cancer risk.

This test does not include variants in other genes linked to hereditary cancers.

Genetic testing for BRCA1 and BRCA2 variants in the general population is not currently recommended by any healthcare professional organizations.

Important ethnicities

The three variants included in this test are most commonly found in people of Ashkenazi Jewish descent.

In 23andMe customers of other ethnicities, between 0% and 0.1% of individuals has one of the three variants in this report.

This test does not include most of the BRCA1 and BRCA2 variants found in people of other ethnicities. Therefore, a "variants not detected" result is less informative for people with no Ashkenazi Jewish ancestry.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the
package insert.

What to know about:Age-Related Macular Degenerationand our test

Age-related macular degeneration (AMD) is the most common cause of irreversible vision loss among older adults. The disease results in damage to the central part of the retina (the macula), impairing vision needed for reading, driving, or even recognizing faces. This test includes the two most common variants associated with an increased risk of developing the condition.

Typical signs and symptoms

Blurred or distorted vision

Vision loss

Yellow fatty deposits in the retina called "drusen"

Blood or fluid leakage in the retina

Other factors that influence risk

Smoking

Age

Family history

Ethnicity

Diet

When symptoms develop
AMD is rarely diagnosed in people under the age of 50. Vision loss related to AMD usually becomes noticeable in a person's 60s or 70s and tends to worsen over time.

How it's treated
There is currently no known prevention or cure for AMD. Having regular eye exams can help detect early signs of the condition. Progression of AMD can be slowed with the use of certain treatments and medications.

What do we test?

Tests for the Y402H variant in the CFH gene and the A69S variant in the ARMS2 gene associated with an increased risk of developing AMD.

Genetic testing for AMD is not currently recommended by any healthcare professional organizations.

Relevant ethnicities

The variants included in this test are common in many ethnicities, but are best studied in people of European descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the
package insert.

What to know about:Alpha-1 Antitrypsin Deficiencyand our test

AAT deficiency is a genetic condition that can lead to lung and liver disease. It is caused by decreased levels of the alpha-1 antitrypsin (AAT) protein. This test includes the two most common variants linked to this deficiency.

Potential signs and symptoms of AAT deficiency

Shortness of breath and wheezing

Chronic cough

Recurrent lung infections

Lung disease, including emphysema

Liver disease, including cirrhosis

Other factors that increase risk

Genetic variants are the only risk factor for AAT deficiency. In people with
genetic risk variants, the chances of developing symptoms of AAT deficiency depend
on lifestyle, environment, and other factors.

Smoking

Occupational and other exposures

Personal or family history of lung disease

Viral infections

When symptoms develop
Because it is a genetic condition, AAT deficiency is present at birth. Symptoms of lung disease usually appear later in life, and age of onset is strongly affected by smoking. Some people may never have symptoms of lung disease, especially if they don't smoke. Liver problems may develop anytime from infancy to adulthood.

How it's treated
There is currently no known cure. People with AAT deficiency are encouraged to avoid smoking and consider getting certain vaccinations. For those with symptoms, treatment focuses on management of lung and liver problems. Direct replacement of the AAT protein into the blood may be used to slow the progression of lung disease. Lung and liver transplants may be beneficial in some cases.

What do we test?

Tests for the PI*Z and PI*S variants in the SERPINA1 gene linked to AAT deficiency.

Testing for genetic variants associated with AAT deficiency is recommended under certain circumstances by several health professional organizations, including the American Thoracic Society.

Relevant ethnicities

The variants included in this test are most common and best studied in people of European descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the
package insert.

What to know about:Celiac Diseaseand our test

Celiac disease is an autoimmune condition in which the consumption of gluten (found in wheat, barley, and rye) can result in damage to the small intestine. Celiac disease can lead to both digestive and non-digestive problems. This test includes two common variants associated with an increased risk of developing this condition.

Typical signs and symptoms

Diarrhea, gas, and bloating

Poor appetite

Skin rashes

Fatigue

Anemia

Headache

Other factors that influence risk

Gluten

Family history

Other conditions

When symptoms develop
Celiac disease can develop anytime from infancy to adulthood, most commonly between the ages of 10 and 40. In people with celiac disease, symptoms occur after consuming gluten.

How it's treated
Celiac disease can be effectively treated by removing all sources of gluten from the diet. This includes foods and drinks made with wheat, barley, and rye.

What do we test?

Tests for variants near the HLA-DQA1 and HLA-DQB1 genes linked to the HLA-DQ2.5 and HLA-DQ8 haplotypes. These haplotypes are associated with celiac disease.

Genetic testing for celiac disease is recommended under certain circumstances by several health professional organizations, including the American College of Gastroenterology.

Relevant ethnicities

The variants included in this test are common in many ethnicities, but are best studied in people of European descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the
package insert.

What to know about:Familial Hypercholesterolemiaand our test

Familial hypercholesterolemia (FH) is a genetic condition associated with very high levels of cholesterol in the blood, specifically low-density lipoprotein (LDL), or "bad" cholesterol. High cholesterol due to FH increases the risk for early cardiovascular disease, which can lead to a heart attack. This test includes 24 genetic variants linked to FH.

Typical signs and symptoms

Elevated total and LDL cholesterol levels

Heart disease, heart attack, or chest pain

In some cases, cholesterol deposits may build up in the skin or tendons (xanthomas), under the skin in the eyelids (xanthelasmas), or around the cornea of the eye (corneal arcus)

Other factors that influence risk

Family history

Age

High blood pressure

Smoking

Other genetic factors

Lifestyle

When symptoms develop
Because it is a genetic condition, FH is present at birth, meaning most people with this condition have high LDL cholesterol levels from a young age. Since many people with FH show no physical symptoms, this condition is typically diagnosed with a blood test for cholesterol. However, some people with FH may not be diagnosed until after experiencing symptoms related to early heart disease, including chest pain or heart attack.

How it's treated
Early and active treatment of FH can substantially reduce the risk for heart disease. FH treatment focuses on lowering LDL cholesterol levels, and FH is usually treated with cholesterol-lowering medications. Lifestyle modifications, including diet, exercise, and weight control can help lower LDL cholesterol levels. But these changes are generally not enough to effectively manage the condition. In extreme cases of FH, LDL-apheresis, a procedure that filters cholesterol out of the blood, can be used when other treatments have failed.

What do we test?

Tests for one variant in the APOB gene and 23 variants in the LDLR gene. These variants are linked to having very high LDL cholesterol levels, which is associated with an increased risk for heart disease.

Genetic testing for FH in the general population is not currently recommended by any healthcare professional organizations.

However, the U.S. CDC recommends that screening using cholesterol testing with or without DNA analysis should be conducted on relatives of people with familial high cholesterol.

Heart disease risk associated with FH variants varies from person to person. Overall risk depends on family history and other factors.

Relevant ethnicities

The majority of the variants included in this test are most commonly found in people of European and Lebanese descent, as well as in the Old Order Amish. In addition, some of these variants have also been found in other ethnicities.

However, more than 1,000 variants have been linked to FH in people of European descent, as well as in people of other ethnicities. This test does not include the majority of those variants.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the
package insert.

What to know about:G6PD Deficiencyand our test

G6PD deficiency is a common genetic condition caused by defects in an enzyme called glucose-6-phosphate dehydrogenase, or G6PD. The G6PD enzyme helps protect red blood cells from damage. In people with G6PD deficiency, red blood cells are destroyed upon exposure to certain environmental triggers, which can lead to episodes of anemia. This test includes the most common variant linked to G6PD deficiency in people of African descent.

Typical signs and symptoms

Anemia

Dark urine

Fatigue

Pale skin

Shortness of breath

Jaundice (yellowing of the skin and eyes)

Other factors that influence risk

Certain medications

Certain infections

Certain foods

When symptoms develop
Because it is a genetic condition, G6PD deficiency is present at birth. However, people with this condition typically don't develop symptoms unless they are exposed to certain triggering factors. Many people with G6PD deficiency never develop symptoms.

How it's treated
Most people with G6PD deficiency do not require treatment. People with G6PD deficiency often manage their condition by avoiding certain medications and foods that may trigger symptoms. If a person is exposed to a trigger and develops anemia, symptoms usually clear up on their own. However, in some cases patients may require a blood transfusion.

What do we test?

Tests for the Val68Met variant in the G6PD gene linked to G6PD deficiency.

Genetic testing for G6PD deficiency in adults in the general population is not currently recommended by any healthcare professional organizations.

Relevant ethnicities

The variant included in this test is most common and best studied in people of African descent.

This variant is also found in populations with African ancestry, like Hispanics or Latinos.

This test does not include variants that are more common in people of Mediterranean, Middle Eastern, Asian, or Kurdish Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the
package insert.

Hereditary hemochromatosis is a genetic condition characterized by absorption of too much dietary iron. This may lead to iron overload, which can cause damage to the joints and certain organs, such as the liver, skin, heart, and pancreas. This test includes the two most common variants linked to this condition.

Typical signs and symptoms

Joint and abdominal pain

Fatigue and weakness

Darkening of the skin

Liver disease

Heart disease

Diabetes

Other factors that influence risk

Age

Sex

Alcohol consumption

Diet

When symptoms develop
Because it is a genetic condition, hereditary hemochromatosis is present at birth. Many people with this condition never develop iron overload. Of those who do develop iron overload, only a small number develop symptoms. If men develop symptoms, they typically appear between 40 and 60 years of age. Women rarely develop symptoms, and when they do it tends to be after menopause.

How it's treated
People with hereditary hemochromatosis are typically monitored for symptoms or complications. Iron overload related to hereditary hemochromatosis is a treatable condition. In some patients, having blood drawn on a regular basis can help lower iron levels. People with iron overload are encouraged to avoid drinking alcohol to minimize liver damage and to limit intake of iron-rich food.

What do we test?

Tests for the C282Y and the H63D variants in the HFE gene linked to hereditary hemochromatosis.

Genetic testing for hereditary hemochromatosis is recommended under certain circumstances by several health professional organizations, including the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver.

Relevant ethnicities

The variants included in this test are best studied in people of European descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the
package insert.

What to know about:Hereditary Thrombophiliaand our test

Hereditary thrombophilia is a predisposition to developing harmful blood clots. These harmful blood clots most commonly form in the legs and can travel to the lungs. This test includes the two most common variants linked to hereditary thrombophilia.

Typical signs and symptoms of harmful blood clots

Pain, tenderness, swelling, or redness in one or both legs

Chest pain

Difficulty breathing

Hereditary thrombophilia may also be associated with recurrent late pregnancy loss in some women.

Other risk factors for harmful blood clots

Major surgery

Age

Prolonged immobility

Oral contraceptives

Obesity

When symptoms develop
Hereditary thrombophilia is genetic, but the risk of developing harmful blood clots increases with age and other factors.

How it's treated
Hereditary thrombophilia typically does not require any ongoing treatment. In some cases medications can be used to prevent harmful blood clots from forming. Medications and surgery can also be used to break up existing clots.

What do we test?

Tests for the Factor V Leiden variant in the F5 gene and the Prothrombin G20210A variant in the F2 gene linked to hereditary thrombophilia.

Testing for genetic variants associated with hereditary thrombophilia is recommended by ACMG under certain circumstances. This test includes the two variants recommended for testing by ACMG.

Relevant ethnicities

The variants included in this test are most common and best studied in people of European descent.

These variants are also found in populations with European ancestry, like African Americans and Hispanics or Latinos.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the
package insert.

What to know about:Late-Onset Alzheimer's Diseaseand our test

Alzheimer's disease is characterized by memory loss, cognitive decline, and personality changes. Late-onset Alzheimer's disease is the most common form of Alzheimer's disease, developing after age 65. Many factors, including genetics, can influence a person's chances of developing the condition. This test includes the most common genetic variant associated with late-onset Alzheimer's disease.

Typical signs and symptoms

Memory loss that worsens over time

Mood and personality changes

Trouble planning or solving problems

Confusion with place or time

Difficulty performing daily life activities

Other factors that influence risk

Age

Sex

Family history

Heart health

Diet

Intellectual activity

When symptoms develop
Late-onset Alzheimer's disease develops after 65 years of age.

How it's treated
There is currently no known prevention or cure for Alzheimer's disease. Medication may be used to delay or ease symptoms.

What do we test?

Tests for the ε4 variant in the APOE gene associated with an increased risk of developing late-onset Alzheimer's disease.

This test does not identify or report on the ε2 and ε3 variants of the APOE gene. These variants are not associated with an increased risk of developing Alzheimer's disease.

Genetic testing for late-onset Alzheimer's disease is not currently recommended by any healthcare professional organizations.

Relevant ethnicities

The ε4 variant included in this test is found and has been studied in many ethnicities. Detailed risk estimates have been studied the most in people of European descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the
package insert.

What to know about:Parkinson's Diseaseand our test

Parkinson's disease is characterized by tremor, muscle stiffness, and problems with movement. Many factors, including genetics, can influence a person's chances of developing Parkinson's disease. This test includes two genetic variants associated with increased risk of developing the condition.

Typical signs and symptoms

Tremor

Muscle stiffness

Slow movements

Problems with balance

Memory loss in some cases

Other factors that influence risk

Age

Sex

Family history

Exposure to certain chemicals

When symptoms develop
Parkinson's disease typically develops in adulthood, after 55 years of age.

How it's treated
There is currently no known prevention or cure for Parkinson's disease. Certain medications may be used to delay or ease symptoms. Speech, physical, and occupational therapies may also help with symptom management.

What do we test?

Tests for the G2019S variant in the LRRK2 gene and the N370S variant in the GBA gene associated with an increased risk of developing Parkinson's disease.

Genetic testing for Parkinson's disease is not currently recommended by any healthcare professional organizations.

Relevant ethnicities

The variants included in this test are most common and best studied in people of European, Ashkenazi Jewish, and North African Berber descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the
package insert.

Should you speak to a genetic counselor?

Should you speak to a genetic counselor?

We encourage you to learn more so you can decide whether testing is right
for you. A genetic counselor, a healthcare professional with special
training in genetic conditions, will be able to answer your specific
questions and help you make an informed decision.

What to know about our Carrier Status Tests

What to know about our Carrier Status Tests

What to know about:ARSACSand our test

ARSACS is a rare genetic disorder characterized by loss of sensation and muscle control, as well as muscle stiffness that worsens over time. A person must have two variants in the SACS gene in order to have this condition.

Typical signs and symptoms

Muscle stiffness that worsens over time

Loss of sensation in hands and feet that worsens over time

Impaired movement and balance that worsens over time

When symptoms develop
Symptoms typically develop during early childhood.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and providing supportive care through speech, physical, and occupational therapy.

What do we test?
1 variant in the SACS gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of French Canadian descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Agenesis of the Corpus Callosum with Peripheral Neuropathyand our test

ACCPN is a rare genetic disorder. It is characterized by an incomplete connection between the two sides of the brain. This causes developmental disability, weakness, and loss of sensation. A person must have two variants in the SLC12A6 gene in order to have this condition.

Typical signs and symptoms

Weakness and sensory loss that worsens over time

Poor or absent reflexes

Tremors

Developmental disability

Shortened lifespan

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on physical and occupational therapy as well as other forms of supportive care as symptoms worsen, often into adulthood.

What do we test?
1 variant in the SLC12A6 gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of French Canadian descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

ARPKD is a rare genetic disorder. It is characterized by kidney, liver, and lung problems as well as urinary tract infections and high blood pressure. A person must have two variants in the PKHD1 gene in order to have this condition.

Typical signs and symptoms

Kidney disease

Liver disease

Respiratory problems

High blood pressure

Urinary tract infections

When symptoms develop
Symptoms typically develop before birth or during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing the symptoms of kidney, lung, and liver disease, as well as managing blood pressure.

What do we test?
3 variants in the PKHD1 gene.

This test does not include a large fraction of PKHD1 variants that cause ARPKD in any ethnicity.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test does not include a large fraction of PKHD1 variants that cause ARPKD in any ethnicity.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Beta Thalassemia and Related Hemoglobinopathiesand our test

Beta thalassemia is a genetic disorder characterized by anemia and fatigue as well as bone deformities and organ problems. A person must have two variants in the HBB gene in order to have this condition.

Typical signs and symptoms

Anemia

Fatigue

Enlarged liver and spleen

Poor growth and weight gain

Bone deformities

Iron buildup in multiple organs

When symptoms develop
Symptoms typically develop any time from late infancy (severe form) into adulthood (intermediate form).

Symptoms of beta thalassemia may vary between people with the condition depending on the variants involved.

Carrier screening for beta thalassemia and related hemoglobinopathies is recommended by ACOG via complete blood count and hemoglobin electrophoresis for people of African, Southeast Asian, Mediterranean, Middle Eastern, and West Indian descent considering having children.

Relevant ethnicities:

This test is most relevant for people of Cypriot, Greek, Italian, and Sardinian descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Bloom Syndromeand our test

Bloom syndrome is a rare genetic disorder characterized by impaired growth and increased risk of infections and cancer. A person must have two variants in the BLM gene in order to have this condition.

Typical signs and symptoms

Small body size

Recurring infections

Cancer at a young age

Sun-sensitive skin

Infertility in men

Early menopause in women

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and preventing complications such as infection and cancer.

What do we test?
1 variant in the BLM gene.

Symptoms of Bloom syndrome may vary between people with the condition even if they have the same genetic variants.

Carrier testing for Bloom syndrome is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes the variant recommended for testing by ACMG.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Canavan Diseaseand our test

Canavan disease is a rare genetic disorder characterized by a loss of nerve cell function in the brain that worsens over time. A person must have two variants in the ASPA gene in order to have this condition.

Typical signs and symptoms

Developmental disability

Gradual loss of muscle tone

Seizures

Difficulty swallowing

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on preventing complications by monitoring diet, treating infectious diseases, and managing seizures.

What do we test?
3 variants in the ASPA gene.

Carrier testing for Canavan disease is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes the two variants recommended for testing by ACMG.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

PMM2-CDG is a rare genetic disorder that affects the nervous system and other parts of the body. It is characterized by developmental delay, muscle weakness, and failure to gain weight. A person must have two variants in the PMM2 gene in order to have this condition.

Typical signs and symptoms

Developmental delay

Muscle weakness

Failure to gain weight

Small head size and distinct facial features

When symptoms develop
Symptoms typically develop in infancy.

How it's treated:
There is currently no known cure. Treatment focuses on nutritional, occupational, speech, and physical therapy.

What do we test?
2 variants in the PMM2 gene.

Severity of symptoms can vary in people with this disorder, even when the same variants are involved.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Danish descent.

This test does not include a large fraction of PMM2 variants that cause PMM2-CDG in people of Dutch descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Cystic Fibrosisand our test

Cystic fibrosis is a rare genetic disorder characterized by impaired lung and digestive function. A person must have two variants in the CFTR gene in order to have this condition.

Typical signs and symptoms

Chronic cough

Lung infections

Pancreatic insufficiency

Malnutrition

Infertility in males

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and preventing complications such as lung infections and malnutrition.

What do we test?
29 variants in the CFTR gene.

Symptoms of cystic fibrosis may vary depending on the variants involved.

the American College of Medical Genetics (ACMG) recommends carrier testing for cystic fibrosis for people of all ethnicities considering having children. This test includes 22 of 23 variants recommended for testing by ACMG.

Relevant ethnicities:

This test is most relevant for people of European, Hispanic/Latino, and Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:D-Bifunctional Protein Deficiencyand our test

DBPD is a rare genetic disorder. It is characterized by abnormal muscle tone, developmental disability, seizures, and early death. A person must have two variants in the HSD17B4 gene in order to have this condition.

Typical signs and symptoms

Abnormal muscle tone

Seizures

Developmental disability

Hearing and vision loss

Distinctive facial features

Early death

When symptoms develop
Symptoms typically develop at birth or during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and preventing complications.

What do we test?
2 variants in the HSD17B4 gene.

This test does not include the majority of HSD17B4 variants that cause DBPD in any ethnicity.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test does not include the majority of HSD17B4 variants that cause DBPD in any ethnicity.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

DLD deficiency is a rare genetic disorder. It is typically characterized by low muscle tone and episodes of brain injury accompanied by liver disease. A person must have two variants in the DLD gene in order to have this condition.

Typical signs and symptoms

Buildup of lactic acid in the body

Episodes of brain injury

Developmental disabilities

Decreased muscle tone

Liver disease

Abdominal pain and vomiting

When symptoms develop
Symptoms can develop anytime from infancy to adulthood

How it's treated:
There is currently no known cure. Treatment focuses on maintaining a stable metabolic state through diet. Blood tests can be used for routine monitoring and to guide dietary recommendations.

What do we test?
1 variant in the DLD gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Familial Dysautonomiaand our test

Familial dysautonomia is a rare genetic disorder that affects many different parts of the body. It is characterized by severe dysfunction in different parts of the nervous system involved in movement, the senses, and involuntary (autonomic) functions. A person must have two variants in the IKBKAP gene in order to have this condition.

Typical signs and symptoms

Episodes of involuntary nerve impairment

Motor and sensory nerve impairment

Poor growth

Developmental delay

When symptoms develop
Symptoms are typically present at birth.

How it's treated:
There is currently no known cure. Treatment focuses on managing nerve dysfunction by providing medications and supportive care.

What do we test?
1 variant in the IKBKAP gene.

Carrier testing for familial dysautonomia is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes one of two variants recommended for testing by ACMG.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

ABCC8-related familial hyperinsulinism is a rare genetic disorder. It is characterized by very high levels of insulin production. This leads to episodes of low blood sugar, which can cause low energy, seizures, and brain damage if left untreated. People with ABCC8-related familial hyperinsulinism most often have two variants in the ABCC8 gene.

Typical signs and symptoms

High levels of insulin

Low blood sugar

Low energy

Irritability

Seizures

Brain damage

When symptoms develop
Symptoms typically develop during infancy or in early childhood.

How it's treated:
There is currently no known cure. Treatment depends on the severity of the condition. Some people can maintain healthy blood glucose levels through medication or diet. Other people may require surgery to remove part of the pancreas.

What do we test?
3 variants in the ABCC8 gene.

Symptoms of familial hyperinsulinism may vary between people with the condition even if they have the same genetic variants.

There are currently no professional guidelines in the U.S. for carrier testing for this condition. However, the American Congress of Obstetricians and Gynecologists (ACOG) notes that testing for familial hyperinsulinism may be considered for people of Ashkenazi Jewish descent who are considering having children.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Familial Mediterranean Feverand our test

Familial Mediterranean fever (FMF) is a genetic disorder. It is characterized by recurring short episodes of fever, as well as inflammation in the abdomen, chest, and joints. In some cases, there may be abnormal protein buildup in the kidneys. People with FMF most often have two variants in the MEFV gene.

Typical signs and symptoms

Periodic episodes of fever

Inflammation in the abdomen, chest, and joints

Skin rash

Abnormal protein buildup in the kidneys

When symptoms develop
FMF can develop anytime from early childhood to adulthood. For most people with the condition, the first episode occurs before the age of 20.

How it's treated:
During a fever episode, anti-inflammatory drugs may be used to manage fever and inflammation. In addition, the drug colchicine is often prescribed by doctors to prevent fever attacks and kidney damage, especially for people who have the M694V variant.

What do we test?
7 variants in the MEFV gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Symptoms of FMF may vary between people with the condition even if they have the same genetic variants.

In some cases, people with only a single MEFV variant can experience symptoms of FMF. In addition, some studies have identified individuals who meet clinical criteria for FMF but do not have any MEFV variants.

Relevant ethnicities:

This test is most relevant for people of Arab, Armenian, Sephardic Jewish, and Turkish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Fanconi Anemia Group Cand our test

Fanconi anemia group C is a rare genetic disorder. It is characterized by a decreased production of blood cells, birth defects, and an increased risk of infections and cancer. A person must have two variants in the FANCC gene in order to have this condition.

Typical signs and symptoms

Skeletal and organ malformations at birth

Increased risk of cancer

Frequent infections

Decreased blood cell production

Very short height

Areas of lighter or darker skin color

When symptoms develop
Symptoms can develop anytime from birth to adulthood.

How it's treated:
There is currently no known cure. Treatment focuses on increasing the number of blood cells, managing disabilities, and screening for cancer. Stem cell transplants may correct blood cell problems in some cases.

What do we test?
3 variants in the FANCC gene.

Carrier testing for Fanconi anemia group C is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes the one variant recommended for testing by ACMG.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:GRACILE Syndromeand our test

GRACILE syndrome is a rare genetic disorder. It is characterized by impaired growth before birth, iron buildup, liver damage, and death in infancy. A person must have two variants in the BCS1L gene in order to have this condition.

Typical signs and symptoms

Small size at birth

Poor growth and weight gain

Iron buildup in the liver

Buildup of lactic acid in the body

Kidney and liver problems

Death in infancy

When symptoms develop
Symptoms typically develop before birth.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and ultimately providing end-of-life supportive care.

What do we test?
1 variant in the BCS1L gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Finnish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Gaucher Disease Type 1and our test

Gaucher disease type 1 is a rare genetic disorder that can affect many organs. It often leads to an enlarged liver and spleen, as well as bone abnormalities. A person must have two variants in the GBA gene, or two copies of a variant, in order to have Gaucher disease type 1.

Typical signs and symptoms

Enlargement of the liver and spleen

Bone weakness and pain

Growth impairment

Anemia and low platelet count

When symptoms develop
Symptoms can develop anytime from childhood to adulthood and can vary from mild to severe. Some people may never develop symptoms.

How it's treated:
There is currently no known cure. Treatment varies depending on the severity of symptoms, but often includes enzyme replacement therapy.

What do we test?
3 variants in the GBA gene.

The severity of symptoms, and when they develop, can vary greatly in people with Gaucher disease type 1. Some people may never develop symptoms.

The 84GG and V394L variants can occasionally be found in people with the more severe, type 2 or type 3 forms of Gaucher disease. People with two copies of the N370S variant, or one copy of N370S and one copy of another variant, typically have the less severe, type 1 form of the disease.

Carrier testing for Gaucher disease type 1 is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes two of four variants recommended for testing by ACMG.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Glycogen Storage Disease Type Iaand our test

GSDIa is a rare genetic disorder. It is characterized by low blood sugar, liver and kidney problems, and poor growth. A person must have two variants in the G6PC gene in order to have this condition.

Typical signs and symptoms

Low blood sugar

Liver enlargement

Very short height

Kidney and liver problems

Anemia

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing diet to control blood sugar levels and prevent problems with metabolism.

What do we test?
1 variant in the G6PC gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Glycogen Storage Disease Type Iband our test

GSDIb is a rare genetic disorder. It is characterized by low blood sugar, liver and kidney problems, and frequent infections. A person must have two variants in the SLC37A4 gene in order to have this condition.

Typical signs and symptoms

Low blood sugar

Liver enlargement

Kidney and liver problems

Frequent infections

Very short height

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing diet in order to control blood sugar levels and prevent problems with metabolism. Medication can help prevent infections.

What do we test?
2 variants in the SLC37A4 gene.

This test does not include the majority of SLC37A4 variants that cause GSDIb in any ethnicity.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test does not include the majority of SLC37A4 variants that cause GSDIb in any ethnicity.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Hereditary Fructose Intoleranceand our test

Hereditary fructose intolerance is a rare genetic disorder. It is characterized by low blood sugar levels, stomach pain, and vomiting after eating fructose. A person must have two variants in the ALDOB gene in order to have this condition.

Typical signs and symptoms

Nausea and vomiting

Low blood sugar

Stomach pain

Failure to gain weight

Liver disease

Kidney disease

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Maintaining a fructose-free diet may reduce or prevent symptoms.

What do we test?
4 variants in the ALDOB gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of European descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

LAMB3-related JEB is a rare genetic disorder. The Herlitz form is characterized by severe blistering of the skin and mucous membranes and, typically, death in infancy. A person must have two variants in the LAMB3 gene in order to have this condition.

Typical signs and symptoms

Fragile skin and mucous membranes

Severe blistering

Recurrent infections

Difficulty swallowing, speaking, and breathing

When symptoms develop
Symptoms of Herlitz JEB are typically present at birth.

How it's treated:
There is currently no known cure. Treatment focuses on protecting the skin, wound care, and managing infections and other complications.

What do we test?
3 variants in the LAMB3 gene.

This test does not include the majority of LAMB3 variants that cause LAMB3-related JEB in any ethnicity.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test does not include the majority of LAMB3 variants that cause LAMB3-related JEB in any ethnicity.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Leigh Syndrome, French Canadian Typeand our test

LSFC is a rare genetic disorder. It is characterized by life-threatening periods of lactic acid buildup and brain injury as well as failure to gain weight. A person must have two variants in the LRPPRC gene in order to have this condition.

Typical signs and symptoms

Buildup of lactic acid in the body

Episodes of brain injury

Failure to gain weight

Poor muscle control and muscle spasms

Distinctive facial features

Early death

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on providing nutritional support, managing symptoms, and preventing complications.

What do we test?
1 variant in the LRPPRC gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of French Canadian descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Limb-Girdle Muscular Dystrophy Type 2Dand our test

LGMD2D is a rare genetic disorder. It is characterized by muscle weakness that worsens over time as well as heart and lung problems. A person must have two variants in the SGCA gene in order to have this condition.

Typical signs and symptoms

Wasting of arm and leg muscles closest to the torso

Large calf muscles

Curvature of the spine

Heart and lung problems

Shortened lifespan

When symptoms develop
Symptoms typically develop between early childhood and adolescence.

How it's treated:
There is currently no known cure. Therapy focuses on maintaining muscle function, preventing skeletal problems, and monitoring heart and lung function.

What do we test?
1 variant in the SGCA gene.

Symptoms can vary greatly in people with this condition, and can be mild in some cases.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is expected to identify the majority of carriers of Finnish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Limb-Girdle Muscular Dystrophy Type 2Eand our test

LGMD2E is a rare genetic disorder. It is characterized by muscle weakness that worsens over time as well as heart and lung problems. A person must have two variants in the SGCB gene in order to have this condition.

Typical signs and symptoms

Wasting of arm and leg muscles closest to the torso

Large calf muscles

Curvature of the spine

Heart and lung problems

Shortened lifespan

When symptoms develop
Symptoms typically develop between early childhood and adolescence.

How it's treated:
There is currently no known cure. Therapy focuses on maintaining muscle function, preventing skeletal problems, and monitoring heart and lung function.

What do we test?
1 variant in the SGCB gene.

Symptoms can vary greatly in people with this condition, and can be mild in some cases.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Southern Indiana Amish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Limb-Girdle Muscular Dystrophy Type 2Iand our test

LGMD2I is a rare genetic disorder. It is characterized by muscle weakness that worsens over time as well as heart and lung problems. A person must have two variants in the FKRP gene in order to have this condition.

Typical signs and symptoms

Wasting of arm and leg muscles closest to the torso

Heart and lung problems

Large calf muscles

Curvature of the spine

Shortened lifespan

When symptoms develop
Symptoms typically develop between early childhood and early adulthood.

How it's treated:
There is currently no known cure. Therapy focuses on maintaining muscle function, preventing skeletal problems, and monitoring heart and lung function.

What do we test?
1 variant in the FKRP gene.

Symptoms can vary greatly in people with this condition, and can be mild in some cases.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is expected to identify the majority of carriers of European descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:MCAD Deficiencyand our test

MCAD deficiency is a rare genetic disorder characterized by episodes of very low blood sugar while fasting or under stress. A person must have two variants in the ACADM gene in order to have this condition.

Typical signs and symptoms

Severely low blood sugar

Fatigue

Vomiting

Seizures

Liver problems

When symptoms develop
Symptoms typically develop during infancy or early childhood.

How it's treated:
There is currently no known cure. Early diagnosis, avoiding fasting, and making certain diet modifications can help limit symptoms and prevent complications.

What do we test?
4 variants in the ACADM gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of European descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Maple Syrup Urine Disease Type 1Band our test

MSUD 1B is a rare genetic disorder. It is characterized by poor growth and feeding, slowed mental and physical processes, and urine with a distinct, sweet odor. A person must have two variants in the BCKDHB gene in order to have this condition.

Typical signs and symptoms

Sweet-smelling urine

Poor feeding and growth

Lethargy

Developmental delay

Coma and death if untreated

When symptoms develop
Symptoms typically develop during infancy or in early childhood.

How it's treated:
There is currently no known cure. Strict diet management, and in some cases liver transplantation, may reduce symptoms and slow or stop disease progression.

What do we test?
2 variants in the BCKDHB gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Mucolipidosis Type IVand our test

Mucolipidosis IV is a rare genetic disorder characterized by developmental delay and gradual vision loss in childhood. A person must have two variants in the MCOLN1 gene in order to have this condition.

Typical signs and symptoms

Developmental disability

Vision impairment that worsens over time

Decreased muscle tone

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and providing supportive care through speech, physical, and occupational therapy.

What do we test?
1 variant in the MCOLN1 gene.

Carrier testing for mucolipidosis IV is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes one of two variants recommended for testing by ACMG and does not include the second most common variant found in people of Ashkenazi Jewish descent.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

This test does not include the second most common variant found in people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

CLN5-related NCL is a rare genetic disorder. It is characterized by seizures, vision loss, and intellectual disability. A person must have two variants in the CLN5 gene in order to have this form of NCL.

Typical signs and symptoms

Intellectual decline

Seizures

Loss of ability to control muscles

Muscle spasms

Vision loss leading to blindness

Shortened lifespan

When symptoms develop
Symptoms typically develop in early childhood.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms, providing physical therapy, and using seizure medications as needed.

What do we test?
1 variant in the CLN5 gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Finnish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

PPT1-related NCL is a rare genetic disorder. It is characterized by seizures, vision loss, and intellectual disability. A person must have two variants in the PPT1 gene in order to have this form of NCL.

Typical signs and symptoms

Intellectual decline

Seizures

Loss of ability to control muscles

Muscle spasms

Vision loss leading to blindness

Death in childhood

When symptoms develop
Symptoms typically develop during infancy or in early childhood.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms, providing physical therapy, and using seizure medications as needed.

What do we test?
3 variants in the PPT1 gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Finnish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Niemann-Pick Disease Type Aand our test

Niemann-Pick disease type A is a rare genetic disorder. It is characterized by an enlarged liver and spleen, developmental disability, recurring lung infections, and early death. A person must have two variants in the SMPD1 gene in order to have this condition.

Typical signs and symptoms

Enlarged liver and spleen

Severe developmental disability

Recurring lung infections

Poor weight gain

Death in early childhood

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and preventing complications through physical and occupational therapy.

What do we test?
3 variants in the SMPD1 gene.

Carrier testing for Niemann-Pick disease type A is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes the three variants recommended for testing by ACMG.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Nijmegen Breakage Syndromeand our test

Nijmegen breakage syndrome is a rare genetic disorder. It is characterized by developmental delay, recurring infections, and an increased risk of cancer. A person must have two variants in the NBN gene in order to have this condition.

Typical signs and symptoms

Small head size

Developmental delay

Recurring infections

Increased risk for cancer

When symptoms develop
Symptoms typically develop before birth.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and preventing complications such as infection and cancer.

What do we test?
1 variant in the NBN gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is expected to identify the majority of carriers in people of Eastern European descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

DFNB1 is an inherited condition characterized by mild to severe hearing loss that is present from birth. People with GJB2-related DFNB1 most often have two variants in the GJB2 gene.

Typical signs and symptoms

Mild to profound hearing loss at birth

When symptoms develop
Symptoms are typically present at birth.

How it's treated:
There is currently no known cure. Treatment options include hearing aids, cochlear implants, and educational programs for people with hearing loss.

What do we test?
2 variants in the GJB2 gene.

The severity of hearing loss can vary, but there are no other symptoms associated with this condition.

Most people with DFNB1 have two variants in the GJB2 gene. However, some people with the condition have one variant in the GJB2 gene and a second variant not tested (a deletion) in the GJB6 gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish and European descent.

This test does not include the majority of GJB2 variants that cause DFNB1 in people of East Asian descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

Pendred syndrome and DFNB4 are inherited conditions characterized by deafness and structural problems with the inner ear. Pendred syndrome is sometimes characterized by an enlarged thyroid. People with Pendred syndrome or DFNB4 most often have two variants in the SLC26A4 gene.

Typical signs and symptoms

Hearing loss at birth or in early childhood

Abnormal inner ear development

Enlarged thyroid

Poor balance

When symptoms develop
Symptoms typically develop at birth or during childhood.

How it's treated:
There is currently no known cure. Early intervention is recommended to teach alternative communication skills. Hearing aids or cochlear implants may treat hearing loss. Medication can treat low thyroid hormone levels.

What do we test?
6 variants in the SLC26A4 gene.

Symptoms of Pendred syndrome and DFNB4 vary in severity depending on which variants are causing the condition.

This test does not include a large fraction of SLC26A4 variants that cause Pendred syndrome or DFNB4 in any ethnicity.

There are currently no professional guidelines in the U.S. for carrier testing for these conditions.

Relevant ethnicities:

This test does not include a large fraction of SLC26A4 variants that cause Pendred syndrome or DFNB4 in any ethnicity.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Phenylketonuria and Related Disordersand our test

PKU is part of a spectrum of related genetic disorders. These disorders are characterized by intellectual disability, seizures, and skin problems. A person must have two variants in the PAH gene in order to have one of these disorders.

Typical signs and symptoms

Intellectual disability

Seizures

Behavioral problems

Eczema

When symptoms develop
Symptoms typically develop soon after birth.

How it's treated:
There is currently no known cure. Diet management throughout life may help reduce common PKU symptoms. For some people, use of medication can minimize intellectual disability and seizures.

What do we test?
23 variants in the PAH gene.

PKU and related disorders can be managed with appropriate treatment.

Symptoms of these disorders vary in severity depending on which variants are causing the condition.

There are currently no professional guidelines in the U.S. for carrier testing for these conditions.

Relevant ethnicities:

This test is most relevant for people of Northern European descent, particularly those of Irish ancestry.

This test does not include a large fraction of PAH variants that cause PKU and related disorders in people of other ethnicities.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Primary Hyperoxaluria Type 2and our test

PH2 is a rare genetic disorder. It is characterized by frequent kidney stones that can lead to kidney failure if left untreated. A person must have two variants in the GRHPR gene in order to have this condition.

Typical signs and symptoms

Frequent kidney stones

Kidney failure if untreated

When symptoms develop
Symptoms typically develop during childhood.

How it's treated:
There is currently no known cure. Treatment focuses on managing oxalate levels and hydration in order to slow the development of kidney disease. Kidney transplantation is considered in some cases.

What do we test?
1 variant in the GRHPR gene.

This test does not include a large fraction of GRHPR variants that cause PH2.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is expected to identify the majority of carriers in people of European descent.

This test does not include the most common variant found in people of Asian descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

RCDP1 is a rare genetic disorder. It is characterized by bone abnormalities, cataracts, and intellectual disability. A person must have two variants in the PEX7 gene in order to have this condition.

Typical signs and symptoms

Skeletal problems

Childhood cataracts

Intellectual disability

Frequent lung infections

When symptoms develop
Symptoms are typically present at birth or develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and providing supportive care through physical therapy. Treatment may include cataract removal.

What do we test?
1 variant in the PEX7 gene.

This test does not include a large fraction of PEX7 variants that cause RCDP1 in any ethnicity.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test does not include a large fraction of PEX7 variants that cause RCDP1 in any ethnicity.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Salla Diseaseand our test

Salla disease is a rare genetic disorder. It is characterized by a gradual loss of muscle tone and coordination, as well as impaired growth, intellectual disability, and seizures. A person must have two variants in the SLC17A5 gene in order to have this condition.

Typical signs and symptoms

Intellectual disability

Loss of muscle tone and coordination over time

Seizures

When symptoms develop
Symptoms typically develop during infancy or childhood.

How it's treated:
There is currently no known cure. Treatment focuses on managing seizures and providing supportive care through speech, physical, and occupational therapy.

What do we test?
1 variant in the SLC17A5 gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Finnish and Swedish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Sickle Cell Anemiaand our test

Sickle cell anemia is a genetic disorder characterized by anemia, episodes of pain, and frequent infections. A person must have two HbS variants in the HBB gene in order to have this condition.

Carrier screening for hemoglobinopathies such as sickle cell anemia is recommended by the American Congress of Obstetricians and Gynecologists (ACOG) via complete blood count and hemoglobin electrophoresis for people of African, Southeast Asian, Mediterranean, Middle Eastern, and West Indian descent considering having children.

Relevant ethnicities:

This test is most relevant for people of African descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Sjögren-Larsson Syndromeand our test

Sjögren-Larsson syndrome is a rare genetic disorder. It is characterized by scaly dry skin, intellectual disability, and persistent muscle stiffness. A person must have two variants in the ALDH3A2 gene in order to have this condition.

Typical signs and symptoms

Dry scaly skin

Persistent muscle stiffness

Intellectual disability

When symptoms develop
Symptoms typically develop in infancy or early childhood.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and providing supportive care through speech and physical therapy as well as skin care.

What do we test?
1 variant in the ALDH3A2 gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Swedish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Tay-Sachs Diseaseand our test

Tay-Sachs disease is a rare genetic disorder. It is characterized by a loss of strength and coordination over time as well as developmental disability, seizures, and early death. A person must have two variants in the HEXA gene in order to have this condition.

Typical signs and symptoms

Loss of strength and coordination that worsens over time

Severe developmental disability

Vision loss

Seizures

Death in early childhood in severe cases

When symptoms develop
Symptoms typically develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms, providing nutritional support, and using seizure medications as needed.

What do we test?
4 variants in the HEXA gene.

Symptoms of this disorder vary in severity depending on which variants are causing the condition.

Carrier testing for Tay-Sachs disease is recommended by the American College of Medical Genetics (ACMG) for people of Ashkenazi Jewish descent considering having children. This test includes the three variants recommended for testing by ACMG.

When carrier testing for Tay-Sachs disease is indicated in people who are not of Ashkenazi Jewish descent, the American College of Medical Genetics (ACMG) recommends biochemical carrier screening as a first step. Genetic testing can then be used to confirm carrier status in people with a positive result.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish and Cajun descent.

This test does not include the most common variant found in people of French Canadian descent with Tay-Sachs disease.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Tyrosinemia Type Iand our test

Tyrosinemia type I is a rare genetic disorder. It is characterized by high levels of the amino acid tyrosine that can lead to liver and kidney disease. A person must have two variants in the FAH gene in order to have tyrosinemia type I.

Typical signs and symptoms

High levels of tyrosine in the blood

Liver and kidney problems

Growth delay

Episodes of pain, weakness, and mental distress

Increased risk of liver cancer

When symptoms develop
Symptoms typically develop during infancy or in childhood.

How it's treated:
There is currently no known cure. Medication and a low protein diet may decrease liver and kidney damage. Liver transplantation is considered in some cases.

What do we test?
4 variants in the FAH gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of French Canadian and Finnish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Usher Syndrome Type 1Fand our test

Usher 1F is a rare genetic disorder. It is characterized by deafness at birth, poor balance, and vision loss that worsens over time. A person must have two variants in the PCDH15 gene in order to have this condition.

Typical signs and symptoms

Deafness in both ears at birth

Loss of vision beginning in childhood

Poor balance

Delays in walking

When symptoms develop
Symptoms typically develop at birth.

How it's treated:
There is currently no known cure. Deafness may be treated with cochlear implants. Vision loss may be monitored with routine eye exams. Early intervention is recommended to teach alternative communication skills.

What do we test?
1 variant in the PCDH15 gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

What to know about:Usher Syndrome Type 3Aand our test

Usher 3A is a rare genetic disorder. It is characterized by hearing and vision loss that begins in late childhood and worsens over time. A person must have two variants in the CLRN1 gene in order to have this condition.

Typical signs and symptoms

Hearing loss in childhood or early teens

Gradual vision loss

Night blindness by mid-teens

Blindness by mid-adulthood

When symptoms develop
Symptoms typically develop during late childhood or adolescence.

How it's treated:
There is currently no known cure. Hearing loss may be treated with hearing aids. Vision loss may be monitored with routine eye exams. Early intervention is recommended to teach alternative communication skills.

What do we test?
1 variant in the CLRN1 gene.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test is most relevant for people of Ashkenazi Jewish descent.

This test does not include variants commonly found in people of Finnish descent with Usher 3A.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

ZSS is a group of rare genetic disorders. The form of ZSS covered by this report is characterized by impaired hearing, vision, and organ function, as well as developmental disability and early death. A person must have two variants in the PEX1 gene in order to have this form of ZSS.

Typical signs and symptoms

Decreased muscle tone

Seizures

Failure to gain weight

Impaired vision and hearing

Developmental disability

Early death (severe form)

When symptoms develop
Symptoms are typically present at birth or develop during infancy.

How it's treated:
There is currently no known cure. Treatment focuses on managing symptoms and preventing complications.

What do we test?
1 variant in the PEX1 gene.

This test does not include the majority of PEX1 variants that cause ZSS in any ethnicity.

There are currently no professional guidelines in the U.S. for carrier testing for this condition.

Relevant ethnicities:

This test does not include the majority of PEX1 variants that cause ZSS in any ethnicity.

Test performance summary
Accuracy was determined by comparing results from this test with results from sequencing.
Greater than 99% of test results were correct. While unlikely, this test may provide false
positive or false negative results. For more details on the analytical performance of this
test, refer to the package insert.

Northern East African

Ethiopian & Eritrean

Somali

Sudanese

Broadly Northern East African

Broadly Sub-Saharan African

South Asian

Broadly South Asian

Afghanistan (2+ regions)

Bangladesh (6+ regions)

India (22+ regions)

Mauritius

Nepal (2+ regions)

Pakistan (4+ regions)

Sri Lanka (3+ regions)

Melanesian

Broadly Melanesian

Fiji (2+ regions)

The Amish are a group of people residing mainly in the central regions of the United States.
Descended from Swiss and German ancestors, the group is defined by religious and cultural
practices, including strong church membership and limits on the use of technology.

Those who trace their roots to Jewish settlers in Central and Eastern Europe during the Middle
Ages.
North African Berbers are people of mixed Arab and Berber origin. They live in communities across the North African Maghreb region, which includes the countries of Tunisia, Morocco, Algeria, and Libya.

Test Examples

Relevant Ethnicities

Bloom Syndrome

Ashkenazi Jewish

Sickle Cell Anemia

African

Tay-Sachs Disease

Ashkenazi Jewish, Cajun

If you are starting a family, find out if you are a carrier for an inherited
condition. Example reports include: Cystic Fibrosis, Sickle Cell Anemia,
Hereditary Hearing Loss

Find and connect with relatives in the 23andMe database who share DNA with you.

Learn the origins of your maternal and paternal ancestors and where they lived thousands
of years ago.

Women can only trace their paternal haplogroup by connecting to a male relative - such as a father, brother, or
paternal male cousin. This is because the paternal haplogroup is traced through the Y chromosome, which women do
not inherit.

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